Dark Spots After Fraxel Treatment for Acne Scars... Help?

Dear Writer, Your outcome after Fraxel can happen sometimes, but I want to reassure you that it always goes away with appropriate bleaching creams and strict sun protection. Your dermatologist may prescribe Triluma, or recommend a Compounding Pharmacy where they can formulate a stronger concentration of the bleaching cream, like: Hydroquinone 8%, tretinoin 0.025% and hydrocortisone 1%. This may be applied before bedtime, every night for eight to twelve weeks. Don't forget your sun protection, preferably with an agent containing titanium dioxide or zinc oxide. Discuss these recommendations with your dermatologist, and I am sure that working together you will find a solution for the hyperpigmentation. Good Luck!

Topical steroids can be very helpful to help reduce the discoloration. Sometimes we compound this with pigment correcting/bleaching agents as well such as hydroquinone. In addition, chemical peels (especially glycolic or jessner's peels) might be helpful to help even out the pigment or you might need a different laser to help even out the pigment. And essential is very strict good sunprotection, consider covering the area with a physical sunscreen block such as zinc oxide or titanium dioxide (many have a skin tone tint) to ensure proper coverage into the UVA range which can otherwise lead to more pigmenation.